Provider Demographics
NPI:1235766403
Name:LOVE, TAYLOR IBRAHIM (DO)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:IBRAHIM
Last Name:LOVE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:704 BYRD BLVD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-1204
Mailing Address - Country:US
Mailing Address - Phone:828-712-3173
Mailing Address - Fax:828-575-0913
Practice Address - Street 1:1 VANDERBILT PARK DR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1736
Practice Address - Country:US
Practice Address - Phone:828-712-3173
Practice Address - Fax:828-575-0913
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC87914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine